Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01194 | Date 07/09/2018 |
| Token No | SM/18-19/1609 07/09/2018 | Serial | 030 |
| Patient Name | Mr. SUKUMAR HAZRA | Contact No | |
| Address | Age | 56 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/78 mmHg | Weight | KG |
| Pulse Rate | 81 / min | Height | cm |
| Diagnosis | |||